Document Detail

Revisiting tooth preservation in prosthodontic therapy.
MedLine Citation:
PMID:  21284759     Owner:  NLM     Status:  MEDLINE    
Dental implants have been established as long-term supports for tooth replacements, and they have profoundly altered treatment concepts of traditional prosthodontics. The use of teeth as prosthetic abutments is revisited relative to implants as predictable support mechanisms for fixed and removable prostheses. The purpose of this review is to appraise tooth preservation in a different manner while considering implants as additional and even preferred support mechanisms for dental prostheses. Data reviewed in this article include a comparison of implants and traditional prostheses and their effects on abutment teeth, the use of periodontally and endodontically compromised teeth as abutments, and prosthetic complications potentially created by healthy remaining teeth. The evidence presented suggests that the longstanding objective of tooth preservation during prosthetic treatment be appended to include the use of dental implants for fixed/removable prostheses, and to avoid or remove teeth presenting as liabilities that diminish the overall prognosis. Patients are not well served if they are faced with biologic, economic, and psychological burdens associated with ongoing revisions of dental rehabilitations using natural teeth. Dentists must use all means available to carefully evaluate remaining teeth to determine if they benefit or impair proposed prosthetic outcomes.
George Priest
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Publication Detail:
Type:  Journal Article; Review     Date:  2011-02-01
Journal Detail:
Title:  Journal of prosthodontics : official journal of the American College of Prosthodontists     Volume:  20     ISSN:  1532-849X     ISO Abbreviation:  J Prosthodont     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-17     Completed Date:  2011-06-20     Revised Date:  2011-09-06    
Medline Journal Info:
Nlm Unique ID:  9301275     Medline TA:  J Prosthodont     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  144-52     Citation Subset:  D    
Copyright Information:
© 2011 by The American College of Prosthodontists.
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MeSH Terms
Alveolar Bone Loss / etiology,  prevention & control
Choice Behavior
Decision Making
Dental Abutments*
Dental Implants*
Dental Stress Analysis
Denture, Partial / adverse effects
Patient Care Planning
Periodontal Diseases / physiopathology
Tooth / physiology*
Tooth, Nonvital*
Reg. No./Substance:
0/Dental Implants
Erratum In:
J Prosthodont. 2011 Jul;20(5):421-3

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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